Since the mid 1990s, ReVision LASIK and Cataract Surgery Center has helped individuals from the Midwest and around the world enjoy great vision with

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2 Refractive Surgery Options Since the mid 1990s, ReVision LASIK and Cataract Surgery Center has helped individuals from the Midwest and around the world enjoy great vision with the latest technologies and unmatched surgical experience. James Schumer, M.D., Medical Director for ReVision LASIK and Cataract Surgery Center, has performed thousands of vision correction procedures during his practice as a refractive surgeon. Dr. Schumer is pleased to offer a variety of the latest refractive surgery technologies including Bladeless LASIK, Advanced Surface Ablation and the Implantable Contact Lens (ICL). With years of experience and a multitude of successful procedures, Dr. Schumer will select the most appropriate technology to help you achieve world-class vision.

3 Jessica I want to express my extreme satisfaction with my recent LASIK procedure. The introductory consultation really put me at ease. The surgery went better than I had ever expected. As soon as I sat up and before I put my feet down I could see beautifully. I am so thankful I chose ReVision to improve my quality of life. I am now free from contacts and glasses and I could not be happier. Thank you to all the staff for your care, thoroughness, and professionalism. Dr. Schumer, I am your biggest fan.

4 Refractive Errors In order to determine if you are a candidate for refractive surgery and which type of refractive procedure is best for you, it is important to determine the type and amount of refractive errors that are present in each eye. Normal vision is the result of light entering the cornea (outer window of the eye), passing through the lens (behind the iris), and focusing directly on the retina (at the back of the eye) producing a clear image. Nearsightedness occurs when the cornea is too curved or the eye is too long. This causes light rays to come to a point of focus in front of the retina, resulting in blurry distance vision. Farsightedness occurs when the cornea is too flat or the eye is too short. This causes light rays to come to a point of focus that would be behind the retina, resulting in blurry near and sometimes near vision, too. Astigmatism occurs when the cornea is shaped like a football (more curved in one direction than the other) and often occurs along with nearsightedness or farsightedness. Astigmatism causes light to focus on more than one point on the retina resulting in blurry and distorted vision.

5 chris I want to thank Dr. Schumer for changing my life forever. I wore glasses from the age of six to twenty-six until he performed my LASIK surgery and I am so grateful for my new vision. Dr. Schumer and his team at ReVision have made such an impact in my life and I can t thank them enough.

6 bladeless LASIK LASIK is the most popular procedure to correct nearsightedness, farsightedness and astigmatism. Its popularity is founded on the high rate of patient satisfaction, excellent visual results, quick recovery, and the existence of very few side effects or complications. At ReVision LASIK and Cataract Surgery Center, we are dedicated to providing our patients with the best possible vision. Our bladeless LASIK procedure utilizes the VICTUS femtosecond laser to create the corneal flap and the Nidek EC-5000 Excimer laser to reshape the cornea. Using both of these lasers offer a number of benefits including improved safety, better visual outcomes and a higher degree of predictability and precision. After your eye has been completely numbed using eye drops, Dr. Schumer uses the femtosecond laser to create a hinged flap of thin cornea tissue which is then gently folded to the side. In only a few seconds, the Nidek Excimer laser reshapes the underlying tissue to correct the refractive errors. Dr. Schumer then replaces the corneal flap over the treated area where it bonds securely, without the need for stitches. To be a good candidate for LASIK, the cornea must be of sufficient thickness to allow for the proper amount of tissue to be removed. Patients with severe dry eye syndrome, very thin corneas or other conditions such as the beginning stages of a cataract, may be better candidates for one of the other refractive procedures we offer. VICTUS Laser Creates Corneal Flap Corneal Flap Folded to Side NIDEK Excimer Laser Reshapes Cornea Corneal Flap Folded Back Corneal Flap Heals Without Sutures

7 Our Technology In our ongoing commitment to providing our patients with the highest level of technology, we have invested in the finest lasers and 3D surgical technology available on the market today. VICTUS femtosecond laser is used to create the LASIK flap designed to provide greater precision and customization than manual bladed microkeratomes. The NIDEK EC-5000 Excimer laser is one of the most reliable lasers designed to treat nearsightedness and farsightedness with or without astigmatism. TrueVision combines 3D visualization and guidance software focused on improving accuracy, efficiency, and outcomes for both surgeons and patients. VICTUS Laser NIDEK EC-5000 Laser TrueVision 3D Surgical Instrumentation

8 ADVANCED SURFACE ABLATION (ASA) Advanced Surface Ablation, also known as PRK, LASEK and Epi-LASIK, is a laser vision correction procedure in which the cornea is reshaped directly on the surface rather than under a flap as in LASIK. It offers some advantages over LASIK for certain patients such as those with thin corneas, patients diagnosed with dry eyes, or patients with hobbies or professions that increase the chances of being hit in the eye which could potentially dislodge the flap. With ASA, the surface epithelium, or thin layer of protective skin covering the cornea, is removed. The surface of the cornea is then reshaped with the Nidek EC-5000 Excimer laser. A soft bandage contact lens is placed over the treated area to make the eye more comfortable for several days during the healing process. It usually takes three to five days for the epithelium to fully regenerate. Because the return to functional vision is longer than with LASIK, ASA patients should allow several days for recovery before planning on returning to full activity. Although final vision recovery takes longer than LASIK, visual outcomes of both procedures are usually excellent. Epithelium Removed NIDEK Excimer Laser Reshapes Cornea Epithelium Regenerates

9 IMPLANTABLE CONTACT LENS (ICL) The Implantable Contact Lens is an intraocular lens, or a lens that is put inside the eye. It differs from Intraocular Lenses (IOLs) that are used in cataract and Refractive Lens Exchange procedures in that the lens is added to the eye without removing the natural lens. ICL candidates are between the ages of 21 and 45 with moderate to severe nearsightedness, typically outside the range of correction for LASIK or PRK. The ICL is a small implantable lens that is inserted through a tiny, 3mm incision that does not usually require sutures. Once inside the eye, it unfolds and is placed behind the iris. The procedure is performed in our AAAHC accredited surgery center, takes only about 10 minutes, and is virtually pain free. Most patients can return to their normal activities within a day. Many patients experience a WOW factor when they experience the immediate improvement in the quality of their vision. The ICL is unnoticeable to both the patient and any observer and, if necessary, can be removed and/or replaced if the refractive error changes. ICL Inserted Through Small Incision ICL Rests Behind the Iris

10 REFRACTIVE LENS EXCHANGE (RLE) Refractive Lens Exchange corrects nearsightedness and farsightedness using an Advanced Intraocular Lens (IOL) implant. RLE is often the procedure of choice for patients over 40 who do not qualify for LASIK or for patients who wish to reduce their dependence on glasses or contacts in a more permanent way. It is also an excellent alternative for those individuals who may be showing early signs of developing cataracts. Millions of eyes have received intraocular lens implants when undergoing cataract surgery, using the same highly successful surgical techniques used in RLE. The primary difference between cataract surgery and RLE is that cataract surgery is performed to remove a patient s cloudy lens, and Refractive Lens Exchange is performed to reduce one s dependence on glasses or contact lenses. Advanced IOLs can provide patients with exceptional visual acuity for near, intermediate and distance vision. In fact, over 95% of our patients find they rarely need glasses with their Advanced IOLs. RLE is performed using the Victus femtosecond laser, making the procedure bladeless and potentially even safer than traditional methods used with RLE. One eye is done at a time, and the second eye is usually done in a week or two. Lens Natural Clear Lens Replacement IOL

11 KEITH I initially went in thinking I would have LASIK to correct my vision. I couldn t wear my contacts like I used to and I didn t like my vision while driving with glasses, especially at night. At my consultation at ReVision, they educated me about my options beyond LASIK. Their commitment to ensuring that I understood all of my choices gave me the confidence to schedule my Refractive Lens Exchange procedure. I am grateful they took the time to properly inform me and I m so pleased knowing how I see today will be how I will see in my future.

12 WHAT TO EXPECT AFTER REFRACTIVE SURGERY After your procedure you should go home and relax. It is normal for your eye to feel tender or achy as the numbing drops wear off. You will notice a significant improvement in your vision within 24 hours. Complete visual recovery varies from patient to patient and is slightly longer for some procedures versus others. Serious complications are extremely rare but because it is surgery, there are potential risks involved. Our counselors will provide you with additional information about risks associated with your specific surgical procedure and answer any questions you may have. We appreciate your trust and confidence in choosing ReVision LASIK and Cataract Surgery Center for your refractive surgical procedure.

13 KAREN I chose ReVision because a family member recommended their services. Everyone was extremely nice and very helpful. I was really impressed with the service and care I have received. The courtesy call the night of the surgery was a real comfort and a great gesture. I can t say enough about how great everyone has been. I still can t believe how absolutely amazing my vision is! Thank you so much!

14 Providing quality vision care is a trusted partnership. As a cornea specialist, I am committed to the highest quality and safety standards. Through education, our goal is to help patients better understand their vision correction options and what they should look for in a vision care team. ReVision is committed to offering the latest advanced technology options and our dedication to patient care and safety standards provides predictable vision outcomes to our patients. D. James Schumer, M.D. Founder and Medical Director D. James Schumer, M.D., founder and Medical Director of ReVision LASIK and Cataract Surgery Center, is one of the Midwest s most experienced and respected laser vision specialists. As a Board Certified Ophthalmologist and cornea specialist, Dr. Schumer has been at the forefront of cataract surgery, cornea and LASIK eye surgery in Columbus for many years. A recipient of a Doctor of Medicine degree from the Medical College of Ohio, Dr. Schumer completed his residency at Detroit s Henry Ford Hospital, before receiving a fellowship in cornea and refractive surgery at the University of Kansas famed Hunkeler Eye Clinic. At the time, the Hunkeler Eye Clinic was one of a select few centers in the United States doing FDA clinical trials on the theninvestigational excimer laser that ultimately helped the FDA approve the precision excimer laser for vision correction. When he completed his fellowship, Dr. Schumer was one of the few surgeons in the country trained to do refractive laser surgery. He has published numerous articles on refractive surgery techniques, and has taught surgeons across Canada, Mexico, and South America, even training the first laser eye surgeons in China. Dr. Schumer soon set up his own facility dedicated to refractive surgery and LASIK eye surgery, which became known as ReVision LASIK and Cataract Surgery Center. ReVision is a state-of-the-art facility where he has performed thousands of refractive surgeries and has participated in important FDA-sponsored research and clinical trials.

15 1080 Polaris Parkway Columbus OH West Cook Road Mansfield OH

16 1080 Polaris Parkway Columbus OH West Cook Road Mansfield OH Patient Education Concepts, Inc 91464

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